FORM 1023-EZ for KIRBY SMITH MIDDLE SCHOOL SPANISH BOOSTER CLUB

Field Data
EIN 47-2382102
Case Number EO-2015050-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIRBY SMITH MIDDLE SCHOOL SPANISH BOOSTER CLUB
Organization’s Mailing Address 2034 HUBBARD STREET
City JACKSONVILLE
State FL
ZIP 32206
Accounting period End 6
Primary contact name LAURE DAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIA MARLOW
PRESIDENT
14099 FISH EAGLE DRIVE EAST
JACKSONVILLE FL 32226

Officer/Director/Trustee Two

KARINA RIOS
SECRETARY
3555 HUNT STREET
JACKSONVILLE FL 32254

Officer/Director/Trustee Three

LAURE DAU
TREASURER
3720 HUNT CLUB ROAD
JACKSONVILLE FL 32224

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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